MEDICARE: O.P.S. THERAPY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor

General Provider Information

NPI Number	:	1437276060
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	O.P.S. THERAPY SERVICES

Provider Business Mailing Address
First Line	:	44418 N 12TH ST
Second Line	:
City	:	NEW RIVER
State	:	AZ
Zip	:	85087-7314
Country	:	US
Telephone Number	:	602-617-8504
Fax Number	:

Provider Business Practice Location Address
First Line	:	44418 N 12TH ST
Second Line	:
City	:	NEW RIVER
State	:	AZ
Zip	:	85087-7314
Country	:	US
Telephone Number	:	602-617-8504
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. VALERIE PAMELA BAZAN
Credential	:	MS, OTRL
Telephone Number	:	602-617-8504

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	02/18/2014

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